Title 20 — Public Health and Welfare
63 chapters · 2,838 sections in this title.
Ark. Code Ann. § 20-9-801 Declaration of policy
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(a) The availability of scientific knowledge, skills, and materials for the transplantation, injection, transfusion, or transfer of human tissue, organs, blood, and components thereof is important to the health and welfare of the people of this state. (b) The imposition of legal …
Ark. Code Ann. § 20-9-802 Limitation of liability
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No physician, surgeon, hospital, blood bank, tissue bank, or other person or entity who donates, obtains, prepares, transplants, injects, transfuses, or otherwise transfers or who assists or participates in obtaining, preparing, transplanting, injecting, transfusing, or transferr…
Ark. Code Ann. § 20-9-901 Purpose
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(1) The purpose of this subchapter is to:(1) Promote the delivery of quality health care in a cost-effective manner;(2) Foster greater coordination between payors and providers conducting utilization review activities;(3) Protect patients, business, and providers by ensuring that…
Ark. Code Ann. § 20-9-902 Definitions
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(1) As used in this subchapter:(1) “Certificate” means a certificate of registration granted by the State Board of Health to a private review agent;(2) (A) “Private review agent” means a nonhospital-affiliated person or entity performing utilization review on behalf of:(i) An emp…
Ark. Code Ann. § 20-9-903 Certificate required
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A private review agent who approves or denies payment or who recommends approval or denial of payment for hospital or medical services or whose review results in approval or denial of payment for hospital or medical services on a case-by-case basis may not conduct utilization rev…
Ark. Code Ann. § 20-9-904 When certificate not required
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(a) The State Board of Health may waive the requirements of this subchapter for the activities of a private review agent in connection with a contract with the United States Government for utilization review of patients eligible for hospital and medical services under the Social …
Ark. Code Ann. § 20-9-905 Penalty
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(a) A person who violates any provision of this subchapter or any rule adopted under this subchapter shall be guilty of a violation and upon conviction shall be subject to a penalty not exceeding one thousand dollars ($1,000). (b) Each day that a violation is continued after the …
Ark. Code Ann. § 20-9-906 Duties of State Board of Health
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(a) (1) In accordance with the Arkansas Administrative Procedure Act, § 25-15-201 et seq., the State Board of Health shall adopt rules to implement this subchapter.(2) Rules governing utilization review plans under this subchapter shall impose no greater requirements than those r…
Ark. Code Ann. § 20-9-907 Health insurance plans — Insurers
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(a) (1) Every health insurance plan proposing to issue or deliver a health insurance policy or contract or administer a health benefit program which provides for the coverage of hospital and medical benefits and the utilization review of those benefits shall:(A) Have a certificat…
Ark. Code Ann. § 20-9-908 Application for certification — Fee
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(a) An applicant for a certificate shall:(1) Submit an application to the State Board of Health; and(2) Pay to the board the application fee established by the board by rule. (1) Submit an application to the State Board of Health; and (2) Pay to the board the application fee esta…
Ark. Code Ann. § 20-9-909 Information required with application
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(1) In conjunction with the application, the private review agent shall submit information that the State Board of Health requires, including:(1) A utilization review plan that includes:(A) A description of review standards and procedures to be used in evaluating proposed or deli…
Ark. Code Ann. § 20-9-910 Expiration of certificate — Renewal
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(a) A certificate expires on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in this section. (b) Before the certificate expires, a certificate may be renewed for an additional two-year term if the applicant:(1) Other…
Ark. Code Ann. § 20-9-911 Revocation or denial of certificate
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(a) The State Board of Health may revoke or deny a certificate if the holder does not comply with performance assurances under this section, violates any provision of this subchapter, or violates any rule adopted pursuant to this subchapter. (b) The board shall deny a certificate…
Ark. Code Ann. § 20-9-912 Appeals
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(a) (1) Before denying or revoking a certificate under this subchapter, the State Board of Health shall provide the applicant or certificate holder with reasonable time to supply additional information demonstrating compliance with the requirements of this subchapter and the oppo…
Ark. Code Ann. § 20-9-913 Confidentiality
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A private review agent may not disclose or publish individual medical records or any other confidential medical information obtained in the performance of utilization review activities without the appropriate procedures for protecting the patient's confidentiality. However, nothi…
Ark. Code Ann. § 20-9-914 Liability unaffected
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Nothing in this subchapter shall be deemed to reduce or expand the liability of any person or entity for any actions or activities with respect to utilization review.